| NPI | 1609457019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI3342) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19255) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |