| NPI | 1104309772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8517-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3895-226) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2022-11-14 |