| NPI | 1649015496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 10792-125) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: WI 607999) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |