| NPI | 1962761262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5864-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1270-226) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2022-07-14 |