| NPI | 1477965853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014014453) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03060) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2025-08-27 |