| NPI | 1487135273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013929) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC13929) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-07-18 |