| NPI | 1497234157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018029619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 3183) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-06-29 |