| NPI | 1205486511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7620) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3861) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2021-08-11 |