| NPI | 1194959619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0011410) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2024-04-18 |