| NPI | 1972154300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019033341) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03557) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2026-06-04 |