| NPI | 1013498302 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017027539) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2017027539) | 
| Enumeration Date | 2018-08-24 | 
| Last Update Date | 2023-09-27 |