| NPI | 1467967000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015741) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0015598) |
| 103TC1900X Psychologist, Counseling (Licence: CO 103TC1900X) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2020-03-16 |