| NPI | 1346716040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2415) |
| Additional Taxonomies | 172A00000X Driver (Licence: WV EW64364) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-05-01 |