| NPI | 1477099166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014854) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11651246-6010) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2020-05-13 |