| NPI | 1235816497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP6103) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV C15302) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-08-08 |