| NPI | 1326110412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP3357-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 52034006004) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-07-10 |