| NPI | 1396298436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21990) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LAC- 12676) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2025-04-23 |