| NPI | 1700430162 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022032622) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03991) | 
| Enumeration Date | 2019-07-24 | 
| Last Update Date | 2025-06-02 |