| NPI | 1336861012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-04-22 |