| NPI | 1275817256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 4337-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4337-125) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2024-03-18 |