| NPI | 1982408266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-2452) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-12-18 |