| NPI | 1275824021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015142) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2576) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2020-10-19 |