| NPI | 1790313229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC21207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LMHC-LH61359922) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-04-24 |