| NPI | 1851310932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-13084) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-11631) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LISAC-11071) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-11-08 |