| NPI | 1033260906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003846) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 74-3162023) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-06-02 |