| NPI | 1235604141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20251) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-17507) |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2023-01-11 |