| NPI | 1740636075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4075) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2016013362) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-09-14 |