| NPI | 1942829783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017543) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 289529) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2021-10-06 |