| NPI | 1114601630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021207) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0021207) |
| 101Y00000X Counselor (Licence: CO 101YP2500X) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-10-07 |