| NPI | 1457751109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019040480) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P1406053) |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2022-06-07 |