| NPI | 1912607136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10682-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5113226) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-10-17 |