| NPI | 1841754199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ 19368) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LAC-17241) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2023-03-06 |