| NPI | 1053681882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6339) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 088460) |
| 101YP2500X Counselor, Professional (Licence: OR C6585) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC012754) | |
| 101YP2500X Counselor, Professional (Licence: MS 2031) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2025-04-15 |