| NPI | 1417799537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2024037624) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021482) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2026-04-02 |