| NPI | 1871219154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0018329) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-01-08 |