| NPI | 1629627963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2019053234) |
| 101YP2500X Counselor, Professional (Licence: KS 3468) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-03-28 |