| NPI | 1609116920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5277-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 691041) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2025-07-08 |