| NPI | 1245067834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 2413) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2020026671) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |