| NPI | 1194269522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015004698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV 5158) |
| 101YP2500X Counselor, Professional (Licence: CA 7868) | |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2022-10-12 |