| NPI | 1164055786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21562) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 19324) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2026-09-25 |