| NPI | 1083176473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO MFT0001966) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0013795) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2022-05-20 |