| NPI | 1598351025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020311) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-07-26 |