| NPI | 1790449098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8519) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 942-226) |
| Enumeration Date | 2021-10-24 |
| Last Update Date | 2022-05-13 |