| NPI | 1427623776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LIC-19767) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-10-07 |