| NPI | 1952031460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19527) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-08-30 |