| NPI | 1598327058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017173) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0016571) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2021-06-10 |