| NPI | 1881147387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014854) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPP.0001432) |
| 101Y00000X Counselor (Licence: CO LPCC.0014784) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-07-17 |