| NPI | 1033816020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 11396-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 7036) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2024-12-03 |