| NPI | 1124638069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8579-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4702-226) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-11-02 |