| NPI | 1205246360 |
|---|---|
| Former Name | DYANA REISEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012483) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-08-10 |