| NPI | 1518446715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP5209-R) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2025-08-01 |