| NPI | 1639779143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0022254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13984296-6009) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-08-12 |