| NPI | 1114658564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10770-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5336-226) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2023-12-27 |