| NPI | 1457816878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 3655-226) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 7550-125) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2024-03-05 |