| NPI | 1740781863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7722-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc05156) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2025-09-17 |