| NPI | 1205353604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017213) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-10-21 |