| NPI | 1972837375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: UT 67794386009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP0249) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2024-10-30 |