| NPI | 1225623416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015777) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 253176) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |