| NPI | 1629268354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7725-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 15205-130) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2021-10-18 |