| NPI | 1619391125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012759) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0103863) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2026-02-04 |