| NPI | 1770870099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5681-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 6039) |
| 101YP2500X Counselor, Professional (Licence: NV CP5681-R) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2025-06-30 |