| NPI | 1699035014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2784) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011003559) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2023-03-30 |