| NPI | 1619509841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-18207) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC22081) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2025-02-21 |