| NPI | 1609293927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5442-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1518-226) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-10-25 |