| NPI | 1336869668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2020036196) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0022846) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-09-25 |