| NPI | 1336577246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012917) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 124311) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2020-07-08 |