| NPI | 1871342238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23083) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC23083) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2025-12-03 |