| NPI | 1104020007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3758-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 3852) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2025-09-03 |