| NPI | 1336806199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21882) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-19183) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2026-07-20 |