| NPI | 1861085441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020589) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO lpcc.0017380) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2025-08-15 |