| NPI | 1760157879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018802) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 322607) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-05-11 |