| NPI | 1316300254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC15762) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC LCMHC18065) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-12-11 |