| NPI | 1528411980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017978) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017978) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2025-08-04 |