| NPI | 1891413571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11681125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5413) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-05-08 |