| NPI | 1891231031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7408-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3390-226) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-03-24 |