| NPI | 1346614708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0105720) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2023-05-03 |