| NPI | 1013264902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0718000587) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P006421) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2023-11-01 |