| NPI | 1275269227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020009675) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MO 00250723) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2022-07-30 |