| NPI | 1497439574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC23741) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LPC23741) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2025-03-18 |