| NPI | 1447957311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020043247) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0019055) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |