| NPI | 1720216104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC-3880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15897) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-06-18 |