| NPI | 1912298647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011003562) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03101) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2024-01-09 |