| NPI | 1962823583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015173) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005644) |
| 101YP2500X Counselor, Professional (Licence: UT 11962869-6004) | |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2026-07-21 |