| NPI | 1083073027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 387) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2021-06-23 |