| NPI | 1699647677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 13239-M) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2026-06-16 |