| NPI | 1063872430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016031772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2021-11-15 |