| NPI | 1053421362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004030) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-04-07 |