| NPI | 1497100473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0014857) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC0104462) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2021-12-28 |