| NPI | 1336891753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0019225) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC.0110536) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2025-09-05 |