| NPI | 1619578671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018986) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017790) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2023-01-12 |