| NPI | 1972136984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8641-225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4566-226) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2022-07-15 |