| NPI | 1114652021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 09930795) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO SWC.0000000894) |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2024-08-21 |