| NPI | 1982243416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017936) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.001735) |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2022-01-25 |