| NPI | 1346702586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21106) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-16819) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2023-05-29 |