| NPI | 1326689639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8620-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2024-01-15 |