| NPI | 1992121677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 2047) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: CO 0018339) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2022-06-28 |