| NPI | 1750757753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2013043963) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2013043953) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2022-11-28 |