| NPI | 1679249213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020668) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020668) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-08-27 |