| NPI | 1558745596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013940) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0105570) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2019-03-27 |