| NPI | 1265561963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005670) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO LPC.0005670) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-02-08 |