| NPI | 1184813784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007020570) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2007020570) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2021-09-07 |