| NPI | 1760028922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0018130) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC0016866) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2022-06-01 |