| NPI | 1225712920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0019576) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020839) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2025-03-19 |