| NPI | 1124503271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018006449) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MO 2018006449) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2025-10-20 |