| NPI | 1508238239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014137) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0014478) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-03-17 |