| NPI | 1023631413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0018384) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0017359) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-12-21 |