| NPI | 1033631130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 6491-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-12-15 |