| NPI | 1477288579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0018259) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: CO 24370274) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-10-29 |