| NPI | 1982078192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3172) |
| 106H00000X Marriage & Family Therapist (Licence: LA 1060) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2025-04-15 |