| NPI | 1780355867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0022484) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0022484) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2026-07-30 |