| NPI | 1114569977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 4548-226) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2023-02-02 |