| NPI | 1528486685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014007640) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2021-02-26 |