| NPI | 1306361423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2015011523) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2015011523) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-09-20 |