| NPI | 1104374461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPP.0001440) |
| 101YM0800X Counselor, Mental Health (Licence: 0014910) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 0014910) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014910) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2022-12-09 |