| NPI | 1255821831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021909) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0015779) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LAC-16775) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-02-11 |