| NPI | 1912358805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016019844) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-06-07 |