| NPI | 1831418706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-16093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-12485) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2020-04-02 |