| NPI | 1992046932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16320) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LPC-16320) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2018-07-19 |