| NPI | 1104240753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0307) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69192) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2019-04-25 |