| NPI | 1811549512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2022028922) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR A1906080) |
| 101YP2500X Counselor Professional (Licence: AR P2212011) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-04-17 |