| NPI | 1295342533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10812) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-15324) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-03-02 |