| NPI | 1750864500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007895) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-02-01 |