| NPI | 1740796390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7490-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3801-226) |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-08-24 |