| NPI | 1730628660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 16845) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 14334) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2021-01-28 |