| NPI | 1598206963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO lpc.0013628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013628) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2020-05-29 |