| NPI | 1225773583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018153) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: CO PSYC.00015774) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2025-08-02 |