| NPI | 1750943536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025050061) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04033) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2026-01-20 |