| NPI | 1245110683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC24374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC22462) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-11-05 |