| NPI | 1467094482 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225C00000X Rehabilitation Counselor | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 1548648439) | 
| Enumeration Date | 2019-10-10 | 
| Last Update Date | 2021-12-08 |