| NPI | 1972085181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8344-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3961226) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-04-14 |