| NPI | 1427449974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.8139) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2016-12-12 |