| NPI | 1609648641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 11710-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7641-226) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2025-04-16 |