| NPI | 1609505783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04965) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5596-R) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-04-19 |