| NPI | 1609337401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0019656) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0019656) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-12-30 |