| NPI | 1972226306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018718) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 24382731) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |