| NPI | 1366870438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5975-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2021-01-23 |