| NPI | 1053975128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017421) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 37504) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-11-09 |