| NPI | 1154898252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8358-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4127-226) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2022-02-23 |