| NPI | 1780238253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8550) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4435-226) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2022-05-13 |