| NPI | 1780305888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0019987) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0023195) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2026-01-12 |