| NPI | 1588138911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19614) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000004067) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2022-06-13 |