| NPI | 1588320865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020154) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC0018791) |
| 101YP2500X Counselor, Professional (Licence: CO 0020154) | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2024-08-14 |