| NPI | 1710537824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018633) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: CO NLC.0110125) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017791) | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-08-23 |