| NPI | 1760884738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18306) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-03-11 |