| NPI | 1447636139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 2792) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2021019544) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2021-07-20 |