| NPI | 1306550561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020320) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.00200320) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-07-11 |