NPI | 1932782406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5371-R) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0191041) |
101YM0800X Counselor, Mental Health (Licence: CO LPC.0018762) | |
Enumeration Date | 2021-05-03 |
Last Update Date | 2025-10-08 |