| NPI | 1255024741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 04154) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2022034549) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |