| NPI | 1447934831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0019898) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0018823) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-10-16 |