| NPI | 1821519232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 3190) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2018009415) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2020-07-14 |