| NPI | 1881936284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CP0150) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN CC00843) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2021-08-20 |