| NPI | 1962776534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13831) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2018-05-03 |