| NPI | 1194213389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6802125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2022-03-10 |