| NPI | 1750839650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2016040351) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2019-05-08 |