| NPI | 1821815671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-23114) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-23114) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-10-21 |