| NPI | 1366807505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5617-R) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC001243) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2026-08-26 |