| NPI | 1710531462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 2718) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YP2500X Counselor Professional (Licence: MO 2014001281) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-06-09 |