| NPI | 1881308872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-21245) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AZ LAC-21245) |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-12-06 |