| NPI | 1972049740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7225-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3400-226) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2019-03-05 |