| NPI | 1386988566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5463-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1000-226) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2025-04-14 |