| NPI | 1174995229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-15795) |
| 101Y00000X Counselor (Licence: AZ LAC-15795) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2026-04-16 |