| NPI | 1083141444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5724) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH61314459) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0017006) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-05-29 |