| NPI | 1164901435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016816) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016816) |
| 101YP2500X Counselor, Professional (Licence: CO 15485) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2024-08-01 |