| NPI | 1407206980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701007743) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14591) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-11-21 |