| NPI | 1922464569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 2880) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2024003533) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-10-08 |