| NPI | 1396336871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ OTC11247) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-21380) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2026-04-09 |