| NPI | 1881790244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015254) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2002010917) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-03-15 |