| NPI | 1871608547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0017154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CCMH0118581) |
| 101YP2500X Counselor, Professional (Licence: NM CCMH0118581) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC0017154) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-02-07 |