| NPI | 1972274702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10273-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5090-226) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-07-03 |