| NPI | 1982022463 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-18776)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60446973)  | 
| 101YM0800X Counselor, Mental Health (Licence: WA CG60452759)  | |
| 374J00000X Doula (Licence: AZ 05.15.2021)  | |
| Enumeration Date | 2014-04-02 | 
| Last Update Date | 2023-08-17 |