| NPI | 1366110116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC22036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-18545) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2023-07-18 |