| NPI | 1366961930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020147) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020147) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2024-02-14 |