| NPI | 1316527112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10176-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-19799) |
| 101YP2500X Counselor, Professional (Licence: MN 2764) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2025-09-03 |