| NPI | 1952792574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2384) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2010038977) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |