| NPI | 1003051152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 4989-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 585-226) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2021-11-04 |