| NPI | 1952069692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LAC-21701) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NV CI5049) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-08-29 |