| NPI | 1265128474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0022110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020049) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0022110) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2025-05-13 |