| NPI | 1073220331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 21524) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-21524) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-05-31 |