| NPI | 1578803433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020660) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC-0020636) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2024-06-25 |