| NPI | 1740548585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2012009265) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NV CP5007-R) |
| 101YP2500X Counselor Professional (Licence: CA LPCC7895) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2024-08-29 |