| NPI | 1023507670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP2872) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-24784) |
| 101YP2500X Counselor, Professional (Licence: UT 14276964-6004) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2026-05-04 |