| NPI | 1841575024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011992) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0011992) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2024-10-14 |