| NPI | 1821652488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2019019589) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2021-06-16 |