| NPI | 1346886744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0018482) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 116025) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2023-03-21 |