| NPI | 1760821128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7593) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014662) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2025-02-11 |