| NPI | 1316457575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7492-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3317-226) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-09-30 |