| NPI | 1184305963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2024010955) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-9655) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-07-08 |