| NPI | 1902998834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4056-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4056-125) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-03-26 |