| NPI | 1093152332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013004022) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 2013004022) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2023-03-06 |