| NPI | 1730617960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016348) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016122) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-11-27 |