| NPI | 1275995003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NV CP1171-R) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GU LPC-153) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-04-15 |