| NPI | 1386065407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP1155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61400995) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2025-09-20 |