| NPI | 1336882745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0018215) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-04-01 |