| NPI | 1699277731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO LPC2002026437) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2024-09-09 |