| NPI | 1093316978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-22173) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-17890) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-11-14 |