| NPI | 1801257258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC.0013300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0013352) |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2024-07-30 |