| NPI | 1194119222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012068) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2642) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-02-06 |