| NPI | 1033818091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0022167) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0020222) |
| 101Y00000X Counselor (Licence: CO 24373046) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2025-04-23 |