| NPI | 1104525880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-24585) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-24585) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2026-06-10 |