| NPI | 1992982011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC22195) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2026-04-02 |