| NPI | 1629800438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021982) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0020303) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-07-10 |