| NPI | 1467653477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011766) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8933A) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO LPP.0001308) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-02-28 |