| NPI | 1710388095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13245) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2017-04-23 |