| NPI | 1992153746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-19175) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2020-08-24 |