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 |