| NPI | 1750456919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC12217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005228) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2026-08-27 |