| NPI | 1508305517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014715) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0014715) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2025-05-07 |