| NPI | 1477011658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016902) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0016902) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2024-05-28 |