| NPI | 1164205373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 12550125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7503-226) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2026-07-20 |