| NPI | 1922875731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0022231) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 0018431) |
| 101YP2500X Counselor Professional (Licence: CO LPCC.0018431) | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-06-18 |