| NPI | 1194197384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021014420) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2834) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2022-11-29 |