| NPI | 1184206104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020007556) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701008687) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |