| NPI | 1881990307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0012214) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 12214) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2024-03-20 |