| NPI | 1720400690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 2342) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 869) |
| 101YP2500X Counselor Professional (Licence: MO 2001031979) | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |