| NPI | 1770231078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0018225) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2023-10-02 |