| NPI | 1184276289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8244-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: 4391-226) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2023-06-27 |