| NPI | 1407176332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013082) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6814) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2017-10-05 |