| NPI | 1699250266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2017039880) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 2017039880) |
| Enumeration Date | 2018-09-30 |
| Last Update Date | 2018-09-30 |