| NPI | 1144600149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 6867-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 2259-226) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-09-17 |