| NPI | 1952769853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-17362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC14291) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2018-08-24 |