| NPI | 1487672069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7022) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0013471) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-09-12 |