| NPI | 1932682887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014000737) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 3415) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2022-08-01 |