| NPI | 1194293365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.00174643) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2021-10-06 |