| NPI | 1760940654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016941) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0016941) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2021-08-30 |