| NPI | 1043595671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-22464) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SD LPC7114) |
| 101YP2500X Counselor Professional (Licence: NE 2576) | |
| 101YP2500X Counselor Professional (Licence: NE 2375) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2025-07-28 |