| NPI | 1003175381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5014) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5100-R) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2024-07-12 |