| NPI | 1720316110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0006218) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPP-1196) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC-6218) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2021-04-28 |