| NPI | 1831530807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CP0288) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC005020) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2021-07-20 |