| NPI | 1255185229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP6277-R) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2026-07-25 |