| NPI | 1073932042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012291) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0013008) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-06-05 |