| NPI | 1407115017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 6092423-6009) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CI-0025) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2016-07-20 |