| NPI | 1205043866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006009694) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2006009694) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2025-08-19 |