| NPI | 1235206632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3306-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011020021) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-08-06 |