| NPI | 1598434870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 10753) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5082-226) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-01-08 |