| NPI | 1265736243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014140) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 2756) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2019-06-03 |