| 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 |