| NPI | 1376811307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 12508) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 068.0136387) |
| 101YP2500X Counselor, Professional (Licence: CO 0012031) | |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2026-03-29 |