| NPI | 1972772549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020043202) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2007037770) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2021-01-15 |