| NPI | 1255732384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014896) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0014708) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-11-05 |