| NPI | 1396265476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0016485) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPCC.0016341) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-09-04 |