| NPI | 1376902973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW70854) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-20821) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2026-02-18 |