| NPI | 1144686304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2023046333) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0015487) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2023-11-28 |