| NPI | 1780077503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8019-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2472226) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2022-12-10 |