| NPI | 1619595568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8706125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4538-226) |
| 101YP2500X Counselor, Professional (Licence: WI 4538226) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-08-31 |