| NPI | 1073521415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 2347) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2026-05-13 |