| NPI | 1831767136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 1137-6-15-21) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-07-23 |