| NPI | 1144756313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007030) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0221571) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-02-01 |