| NPI | 1235305129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003352) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC010620) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-01-25 |