| NPI | 1225543986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-17037) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-17037) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2026-04-28 |