| NPI | 1295184083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 2199) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6322-125) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-05-10 |