| NPI | 1871069864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO Lpcc.0016233) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-12-06 |