| NPI | 1053150052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 12043-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7471-226) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2025-12-09 |