| NPI | 1629683024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017651) |
| 101YP2500X Counselor, Professional (Licence: CO LPCC.0017651) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-03-01 |