| NPI | 1205298056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 2102525188) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-11-19 |