| NPI | 1720037344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC2529) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LPC2529) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC2529) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC2529) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-08 |