| NPI | 1770211088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022818) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-08-13 |
| Last Update Date | 2025-09-09 |