| NPI | 1538417670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8190-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3541-226) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2021-05-07 |