| NPI | 1205067634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2014016302) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 4114) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2025-06-26 |