| NPI | 1134897994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019833) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2023-09-21 |