| NPI | 1033623475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2023007976) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0017424) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-03-15 |