| NPI | 1558723726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014594) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0014069) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-02-04 |