| NPI | 1326068230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701003117) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701003117) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-01-28 |