| NPI | 1417466913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0015888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0015174) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2021-06-16 |