| NPI | 1932309531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0001333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25874) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2026-03-13 |