| NPI | 1356734719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0016960) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0016960) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2025-04-25 |