| NPI | 1447715156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018546) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0016548) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-10-03 |