| NPI | 1720400666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013583) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 168481) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2024-01-08 |