| NPI | 1770943615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-16760) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LAC-13985) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2025-08-29 |