| NPI | 1093276974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA TBD) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014631) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-06-25 |