| NPI | 1497242820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0013001) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 13001) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-10-11 |