| NPI | 1619388477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014014460) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2625) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-05-20 |