| NPI | 1295965226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0011513) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2024-11-12 |