| NPI | 1639852254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020527) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0019353) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-04-03 |