| NPI | 1225436959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2102037164) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2012037164) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2020-11-13 |