| NPI | 1811320732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005607) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5607) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0005607) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2024-11-07 |