| NPI | 1013425578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 13646) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2017043804) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-06-01 |