| NPI | 1306303110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701007042) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 8405) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |