| NPI | 1659795573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0012923) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC 0013536) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2017-03-13 |