| NPI | 1538876222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0018449) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018449) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-09-18 |