| NPI | 1023595451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LPC-19476) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ A6) |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2024-03-07 |