| NPI | 1740062108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7649226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 11696-125) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-04-06 |