| NPI | 1902638414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025033144) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0020999) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2025-08-26 |