| NPI | 1740046937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021014) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0018100) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-07-30 |