| NPI | 1548682800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0013854) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2024-06-06 |