| NPI | 1073249926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019976) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0018523) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-12-14 |