| NPI | 1366856353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013042531) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 02950) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-10-28 |