| NPI | 1801241682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2669) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2014022261) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |