| NPI | 1730678749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO ACD.0001479) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2024-07-19 |