| NPI | 1518522556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015732) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0015941) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2021-01-14 |