| NPI | 1154961464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18672) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 18672) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-07-01 |