| NPI | 1275018723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015034) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2015043568) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0015034) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-08-14 |