| NPI | 1568093284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10163) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4555) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2022-12-15 |