| NPI | 1255707931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701008264) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC14383) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2023-12-08 |