| NPI | 1154983658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016038) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0015852) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2023-03-13 |