| NPI | 1922330091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0005452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 17146) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH15595) | |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2024-08-20 |