| NPI | 1730958075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 23451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 18045) |
| 101YM0800X Counselor, Mental Health (Licence: AZ 23451) | |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-11-18 |