| NPI | 1629474275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CP1262-R) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 800-8-15-14A) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2020-02-19 |