| NPI | 1760179766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11662-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7098-226) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-03-31 |