| NPI | 1972992923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013568) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0104851) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2022-07-07 |