| NPI | 1558609867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0200821) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2022-10-31 |