| NPI | 1750719233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 6516) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 1791-226) |
| 101YP2500X Counselor, Professional (Licence: WI 6516) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2017-07-25 |