| NPI | 1326512294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015939) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3814-226) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-05-31 |