| NPI | 1609113240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5681-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1631-226) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2021-10-06 |