| NPI | 1194281089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8108-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 4274-226) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2021-03-11 |