| NPI | 1902261498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL LPC05433) |
| 101YM0800X Counselor, Mental Health (Licence: IA 129039) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2025-01-16 |