| NPI | 1205347903 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013899)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 101YP2500X Counselor, Professional (Licence: VA 0704015000)  | |
| Enumeration Date | 2017-10-20 | 
| Last Update Date | 2024-08-23 |