| NPI | 1801401716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019269) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11924236-6004) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2026-04-16 |