| NPI | 1790281566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022016841) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007574) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-03-13 |