| NPI | 1780051268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPP.0001385) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014172) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2018-01-12 |