| NPI | 1598234262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015038) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH61028845) |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2024-01-21 |