| NPI | 1972370922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2023032841) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2023032841) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-11-03 |