| NPI | 1194230003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016014481) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 13850) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |