| NPI | 1588205108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021273) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-09-20 |