| NPI | 1508378449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021587) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2025-03-20 |