| NPI | 1417409574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7715-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3787-226) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2022-09-02 |