| NPI | 1194455220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 10932-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5343-226) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-03-27 |