| NPI | 1255153672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-21719) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-05-12 |