| NPI | 1720066533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 001704) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 001704) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2021-08-20 |