| NPI | 1578000824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7473-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3402226) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2019-08-28 |