| NPI | 1841880531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019181) |
| 225C00000X Rehabilitation Counselor (Licence: CO 489110) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-11-18 |