| NPI | 1255546347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003711) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701003711) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-01-08 |