| NPI | 1073126397 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-9126) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23362) | 
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-9126) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-23362) | |
| Enumeration Date | 2020-08-26 | 
| Last Update Date | 2025-06-25 |