| NPI | 1174177117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016329) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2021-06-11 |