| NPI | 1376139220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO MFT.0003194) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL L729) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2026-07-22 |