| 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 |