| NPI | 1346741345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8166) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3831-226) |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2021-10-27 |