| NPI | 1225358690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013307) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008007214) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-03-02 |