| NPI | 1295513158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022560) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7458-226) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2025-09-08 |