| NPI | 1841615077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0011597) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2004014251) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2023-06-23 |