| NPI | 1063710838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 6111-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 6111-125) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2024-10-04 |