| NPI | 1295146967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-16772) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C015934) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2026-03-09 |