| NPI | 1265092621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015904) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC.13010) |
| 101YP2500X Counselor, Professional (Licence: OR C7423) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2026-06-26 |