| NPI | 1306446752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020024454) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 3646) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2021-07-09 |