| NPI | 1811314818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ 24596) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 24596) |
| 102L00000X Psychoanalyst (Licence: AZ 24596) | |
| 251S00000X Community/Behavioral Health (Licence: 24596) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ 24596) | |
| 171400000X Health & Wellness Coach (Licence: AZ 24596) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2026-02-11 |