| NPI | 1275015729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014869) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2025-07-02 |