| NPI | 1902349509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6779) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 16219) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2018-01-17 |