| NPI | 1790135887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014736) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014474) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2018-07-11 |