| NPI | 1083337760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021018093) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0017243) |
| 101YP2500X Counselor, Professional (Licence: CA 3112013) | |
| 101YP2500X Counselor, Professional (Licence: WI 8663-125) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |