| NPI | 1093570822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC21076) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-0020256) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-05-06 |