| NPI | 1366231409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10281) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2019047995) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |