| NPI | 1780235267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7920-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3001-226) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2022-04-25 |