| NPI | 1851976542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LMSW-19312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-16951) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2023-12-06 |