| NPI | 1205476983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NV CP0221) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 1205) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |