| NPI | 1730768458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022028988) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 3380) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2023-11-10 |