| NPI | 1396288445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03257) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2016040389) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2022-08-19 |