| NPI | 1346799954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0105779) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2021-10-20 |