| NPI | 1750602058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0004651) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4651) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-10-27 |