| NPI | 1366063869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0022413) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-07-30 |