| NPI | 1376073155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0018845) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 21274) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-06-22 |