| NPI | 1356889240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8079125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3422 226) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2023-02-23 |