| NPI | 1245700343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017883) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0016301) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2022-03-22 |