| NPI | 1912362195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7062-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 2703-226) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2019-12-05 |