| NPI | 1235916115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020067) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-12-12 |