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 |