| NPI | 1144945007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.001926) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2025-06-02 |