| NPI | 1760950406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1258-1-1-23) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0015062) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2023-04-14 |