| NPI | 1568884054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1932-226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6517-125) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2024-09-21 |