| NPI | 1831846526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20416) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-20416) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-08-10 |