| NPI | 1669978771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-23170) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV CI5303) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-12-03 |