| NPI | 1013543479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701008987) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PR 4203) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |