| NPI | 1962808105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20658) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-20658) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2024-02-29 |