| NPI | 1528713021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 6113) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 11960) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2025-06-12 |