| NPI | 1730871856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022369) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0020851) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2025-06-18 |