| NPI | 1609392869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171W00000X Contractor (Licence: NV 1404288950) |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2026-09-22 |