| NPI | 1710693668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI5563) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-05-29 |