| NPI | 1639804107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3257-125) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: WI 16237) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |