| NPI | 1275070815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP3286-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC008321) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2026-07-31 |