| NPI | 1649488818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2000173598) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2000173598) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-11-09 |