| NPI | 1417475567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23343) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2026-05-08 |