| NPI | 1023318680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2017038397) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 2624) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2018-12-19 |