| NPI | 1184987851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007676) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: MD LC8219) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2023-04-12 |