| NPI | 1417605536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23127) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2025-02-13 |