| NPI | 1295172831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 133303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005464) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2019-07-22 |