| NPI | 1639422553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0019425) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 8627168-6004) |
| 101YP2500X Counselor, Professional (Licence: WA LH00006181) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2024-10-23 |