| NPI | 1376917369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0012333) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO CDE Spec Srvs 5313) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012333) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0012333) | |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2017-03-02 |