| NPI | 1720412455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019046362) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 6286) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2026-08-20 |