| NPI | 1114358868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP1192) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CI0218) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2026-06-10 |