| NPI | 1992411540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0018837) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0018837) |
| 101YP2500X Counselor Professional (Licence: CO LPC.0018837) | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |