| NPI | 1891259958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 8288-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2023-03-09 |