| NPI | 1922625078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0014849) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: CO 243053) |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-05 |