| NPI | 1639669278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5214-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-698) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-12-16 |