NPI | 1316398704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP6144) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2016-06-27 |
Last Update Date | 2025-10-06 |