| NPI | 1790448173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10458125) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-03-28 |