| NPI | 1679038822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 201900938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2019000938) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |