| NPI | 1205638368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-24089) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-21929) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-07-23 |