| NPI | 1154178515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 3049) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 006007) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2026-07-08 |