| NPI | 1871675207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0005060) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 5060) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-07-11 |