| NPI | 1487214565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017362) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7866) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-06-21 |