| NPI | 1255098653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0018999) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CO 00374123) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |