| NPI | 1376053165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016446) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH14254) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-12-07 |