| NPI | 1063044717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018573) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0018573) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-06-23 |