| NPI | 1316215940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001039639) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011039639) |
| Enumeration Date | 2011-12-10 |
| Last Update Date | 2024-09-11 |