| NPI | 1114728409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 05006) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2026019882) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2026-05-12 |