| NPI | 1689144008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 17420) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0015035) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2023-08-14 |