| NPI | 1407315377 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019016339) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 101Y00000X Counselor (Licence: MO 2019016339) | |
| Enumeration Date | 2019-03-19 | 
| Last Update Date | 2024-02-23 |