| NPI | 1366394678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-22521) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: AZ 6567400) |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-02-10 |