| NPI | 1366997090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015616) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2015006486) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-02-06 |