| NPI | 1699367789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0011610) |
| 101Y00000X Counselor (Licence: CO LPC.0011610) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-04-30 |