| NPI | 1811512502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2587) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 553) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2021-07-07 |