| NPI | 1154885309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017102) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0016331) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2021-10-15 |