| NPI | 1386371532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0019667) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 24403391) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-18 |