| NPI | 1881163749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2020037123) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A14470) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-05-16 |