| NPI | 1356937155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017124) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012860) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-05-15 |