| NPI | 1396349916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018352) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0017796) |
| 103TC1900X Psychologist, Counseling (Licence: CO LPC0018352) | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2024-07-03 |