| NPI | 1023862554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-1474) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-06-25 |