| NPI | 1376900035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP2998-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12113) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2021-01-19 |