| NPI | 1982315677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23626) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LPC-23626) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2025-02-19 |