| NPI | 1215970017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002479) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0710001171) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-08-11 |