| NPI | 1346673514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018013555) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: MS 1998) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2023-12-06 |