| NPI | 1144967480 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020557)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017717)  | 
| Enumeration Date | 2022-05-18 | 
| Last Update Date | 2025-06-25 |