| NPI | 1588067052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh20833) |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-01-23 |