| NPI | 1861928657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2021030519) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2017004564) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-03-26 |