| NPI | 1518379874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0014219) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0174201) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014219) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-06-06 |