| NPI | 1447448832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 4185) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 4185) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2022-09-15 |