| NPI | 1245757400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8653-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3636-226) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2025-01-10 |