| NPI | 1770141467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7649) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3522) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2025-07-29 |