| NPI | 1972709178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-13573) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-13573) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2013-07-13 |