| NPI | 1366903130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016517) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO NLC.0109184) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-11-10 |