| NPI | 1942453626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LPC-17322) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0135131) |
| 101YM0800X Counselor Mental Health (Licence: NM 0158061) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-06-17 |