| NPI | 1699316505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LMFT-15620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMFT-15620) |
| 101Y00000X Counselor (Licence: LAMFT-10543) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2023-05-04 |