| NPI | 1215367164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021352) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8560831-6010) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2024-01-19 |