| NPI | 1104696749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 12034-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7723-226) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-08-26 |