| NPI | 1023776572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-19809) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-01-09 |