| NPI | 1245540673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CI0385) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2022-04-19 |