| NPI | 1619593076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016359) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P2309001) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016359) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2024-11-20 |