| NPI | 1437634979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8464-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3388-226) |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-03-08 |