| NPI | 1356077986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025045694) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 0000) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2026-02-17 |