| NPI | 1568000800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-12-04 |