| NPI | 1750012316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-22769) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-05-31 |