| NPI | 1972059566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5993-125) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WI 728672) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-08-19 |