| NPI | 1295430429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11107-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7082-226) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2024-06-14 |