| NPI | 1447603477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015039157) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2015039157) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-09-24 |