| NPI | 1255137014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-23360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 29283) |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2026-06-02 |