| NPI | 1609467372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019216) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225600000X Dance Therapist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-03-16 |