| NPI | 1336519859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2015037999) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR P2202018) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2023-11-09 |