| NPI | 1316355340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013851) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LPC.0013851) |
| 101Y00000X Counselor (Licence: CO LPCC.0014490) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-11-14 |