| NPI | 1972163939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP334-R) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1925) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-09-06 |