| NPI | 1508610650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020909) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-10-15 |