| NPI | 1588216733 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8178-125) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4362-226) | 
| Enumeration Date | 2019-07-09 | 
| Last Update Date | 2023-06-26 |