| NPI | 1033731682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016551) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701009313) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2021-09-21 |