| NPI | 1073854345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019038) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0019038) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-10-28 |