| NPI | 1194421610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10994-125) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-08-08 |