| NPI | 1841688264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013063) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2013011533) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2023-08-21 |