| NPI | 1902107402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2010038959) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2023-12-02 |