| NPI | 1417613191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020000979) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2020000979) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-12-18 |