| NPI | 1700159431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP1260) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 0004226958) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2020-02-17 |