| NPI | 1558866624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2018002535) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 2937) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-06-11 |