| NPI | 1386904498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0017105) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0017105) |
| 103TC1900X Psychologist Counseling (Licence: CO 14016) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2023-04-20 |