| NPI | 1912429796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015354) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0106113) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2019-04-17 |