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 |