| NPI | 1588351514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19742) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23665) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-05-23 |