| NPI | 1750972568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-19488) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-11-13 |