| NPI | 1083082150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5419-R) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GU LPC-155) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-11-08 |