| NPI | 1619688744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2022047001) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |