| NPI | 1740701994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6478-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6478) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2018-09-19 |