| NPI | 1184115941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0021006) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0021006) |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2025-01-29 |