| NPI | 1366797193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005281) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2195) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2021-09-16 |