| NPI | 1902349509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6779-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 16219-132) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2025-07-08 |