| NPI | 1992297568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 3872-226) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7612-125) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-12-20 |