| NPI | 1902498785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0019198) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 12489) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-04-06 |