| NPI | 1891243572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0014847) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014847) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2019-03-19 |