| NPI | 1891095766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013014283) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2327) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2026-08-21 |