| NPI | 1346830379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP2884R) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6933) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-02-27 |