| NPI | 1902675564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 5131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV M14287) |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2025-12-11 |