| NPI | 1578082434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2018036209) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6348) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-05 |