| NPI | 1639457062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011917) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC.13576) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC.11852) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2026-02-09 |