| NPI | 1568276848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10469-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-22497) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |