| NPI | 1891244588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6820-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3247-226) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2018-12-06 |