| NPI | 1992840482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 092126) |
| 101YS0200X Counselor School (Licence: AZ 3738973) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-08-13 |