| NPI | 1144661281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005668) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A9098) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2023-02-16 |