| NPI | 1548408214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007000098) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 207000098) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2017-03-23 |