| NPI | 1457921454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0106797) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0106797) |
| 103T00000X Psychologist (Licence: CO 00013891) | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |