| NPI | 1992397830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5459) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CI3167) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2023-06-29 |