| NPI | 1801386230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6149) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2018009719) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |