| NPI | 1962830224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.011512) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2021-01-19 |