| NPI | 1861991291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2018004319) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-07-22 |