| NPI | 1518603604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017625) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-07-31 |