| NPI | 1770749905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015044726) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008015070) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-11-21 |