| NPI | 1962634782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009024321) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 200904321) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2018-06-16 |