| NPI | 1053158014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 3629-125) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: WI 00102287) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |