| NPI | 1083023824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011455) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0011455) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2024-11-05 |