| NPI | 1578861415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CO LPC0011936) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2024-03-08 |