| NPI | 1326642281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017697) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 15251) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2024-06-26 |