| NPI | 1871165662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5733) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV C15012) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-03-26 |