| NPI | 1629468707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015499) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2019-07-14 |