| NPI | 1225961857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-24860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-22424) |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-17 |