| NPI | 1902931751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-12236) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR 101y00000x) |
| 101YM0800X Counselor, Mental Health (Licence: AZ lpc-12236) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-03-16 |