NPI | 1255079083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020789) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0019570) |
Enumeration Date | 2022-05-23 |
Last Update Date | 2024-06-20 |