| NPI | 1811414006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7392-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3559) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-08-09 |