| NPI | 1710251848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0144761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-17686) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2021-04-09 |