| NPI | 1982108858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0015399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 15578) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2019-07-02 |