| NPI | 1346665254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008265) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5860) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2023-01-31 |