| NPI | 1083482970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021489) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0021489) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-09-26 |