| NPI | 1326444969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-17349) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2025-01-09 |