| NPI | 1790517092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7906-226) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: WI 676885) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |