| NPI | 1144069352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022049227) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MO 2016008299) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-10-25 |