| NPI | 1588067052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013656) |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2018-08-01 |