| NPI | 1760141634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2021046278) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2008003890) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-01-23 |