| NPI | 1659854305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018032557) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04376) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2026-07-21 |