| NPI | 1578278586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019031) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC6037) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-05-13 |