| NPI | 1326356155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004910) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 12347-MH-CC) |
| 101YP2500X Counselor, Professional (Licence: NY 005449) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-06-30 |