| NPI | 1790114478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7046) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2121) |
| 101YP2500X Counselor, Professional (Licence: NV CP5931-R) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2025-10-16 |