| NPI | 1215402656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016489) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0016246) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-10-20 |