| NPI | 1164983979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015398) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-11-08 |