| NPI | 1215695101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LPCC.0019073) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020150) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-03-11 |