| NPI | 1053560870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 1991) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2018022926) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2019-05-31 |