| NPI | 1568058238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10203-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4832-226) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2023-01-09 |