| NPI | 1124307095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013739) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013739) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2018-08-21 |