| NPI | 1003278334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701009787) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6321) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-09-02 |