| NPI | 1558816843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1506) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 1506) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-05-15 |