| NPI | 1962980078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2016005833) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2024-06-12 |