| NPI | 1043677917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013987) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO NLC.0103417) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2024-12-18 |